Provider Demographics
NPI:1124535620
Name:HANDS ON NY PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HANDS ON NY PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MANOJ VARUGHESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAMTHOTTATHIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-319-5688
Mailing Address - Street 1:33 MULBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3715
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1274 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7450
Practice Address - Country:US
Practice Address - Phone:917-319-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty